Chapter 2: Discharge Summary Flashcards
1
Q
What is the Discharge Summary?
A
A concise description of the patient’s hospitalization.
2
Q
What does the Discharge Summary include?
A
Diagnosis at the time of admission and discharge diagnosis.
3
Q
What is the Hospital Course Section of the summary?
A
A short summary of the treatment and progress of each problem, includes lab reports, studies and consultant’s recommendations.
4
Q
Does the Discharge Summary contain the patient condition at discharge, lists of medications at discharge and any medical instructions?
A
Yes.
